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Upper GI Bleeding (Post‑Endoscopy PPI) — ESEGH MCQ

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HardGastroenterologyUpper GI Bleeding (Post‑Endoscopy PPI)ESEGH

A stable patient has melaena and suspected non-variceal UGIB. Endoscopy will occur within 12 hours. No acid suppression has yet been given. What is the NICE-concordant pre-endoscopy plan?

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Correct answer: D — Risk stratification without acid suppression before endoscopy

D is correct. NICE CG141 specifically advises no pre-endoscopy acid suppression for suspected non-variceal UGIB. A and B start the prohibited PPI strategy; C substitutes another prohibited acid suppressant; E delays indicated endoscopy. PPI is offered when recent-haemorrhage stigmata are demonstrated.

Reference: NICE CG141 acute upper-GI bleeding recommendations: https://www.nice.org.uk/guidance/cg141/chapter/Recommendations